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HomeMy WebLinkAbout0101190-Plumbing (water heater)OSHKOSH ON THE WATER ,Job Address 842 MONROE ST Contractor RANSOM, JOHN D Bathtub 0 Shower 0 Whirlpool 0 Floor Drain 0 Lavatory 0 Lndry Tray 0 Toilet 0 Lndry Stndp 0 Res. Sink 0 Disposal 0 Bar Sink 0 Dishwasher 0 Water Heater 1 Sump Pump 0 Site Drain 0 Classrm Sink 0 Roof Drain 0 Breakrm Sink 0 CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner WILLIAM R HUMMEL Category 411 - Residential-Water Heaters Ejector/Grind 0 DipWell 0 F Prep Sink 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Bidet 0 Exam Sink 0 Catch Basin 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 101190 Create Date 05/01/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature SFR/Install gas water heater for Kitz & Pfeil. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size $300.00 Plan Approval $0.00 Permit Fees Material Type # Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $20.00 Date 05/01/2003 Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address W5056 PARADISE LN FOND DU LAC WI 54935 - 9662 Telephone Number 922-1987 RPR-30-2003 NED 02:20 PM KITZ&PF£IL 920 236 3348 P, O! City of Oshkosh Inspection Services Division POBox Il30 Oshkosh, WI 54903-1130 Phone; (920) 236-5050 Fax: (920) 2365084 ©J'HKOJ'H ON THI~ WA'fF.R Plumbing Permit Application I hereby apply for a penait lo do and install the following plumbing on the premises hereinafter descnbc~ the work to conform to file Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. Application(s) and fee(s) can be broughl to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 t2g, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus fl~e normal permit fee, which ever is greater. OR [£vou are a contractor part~c~.~/ptI[j~g tn the Permit Fee ~cc_ou.nt System and hays. adequate funds, c~eck here ~f you want 'this lL~-O, tFessed lhrough .your account ['~ ....... ' ........... Job Add.e**. _ Owner ~;. '~ ~ '9.~ ~ ~ ~ ConWactor, ~oV~ ~ ~ .~o~ ~ingle Family ~uplex ~Multi-Fa~ly ~Rental ~Commercial V-]Industrial Number of Fixtures: Bathtub ~ Lndry Standp Dent. Opcr, Whirlpool Diaposal Dip Well Lavatory Dishwasher , ~ Drink Ftn Toilet ..... Sump Pump Wait. St. R~n. Sink Ejector/Grind I~.~ Ches~ Bar Sink Water Sofmgr [Zx~rn Sink  tOr Iteat~r ~ Lo~a{ WetItc Scul~ Sink ~s 13 ~{¢ct ~ P~'Vnt Cloth¢~ Wa~ Ha,nd Sink Sho~ Bi~t P ~ Sink F]~ ~ain B~ 'ibp S~ Sink ~ Sink Surgeons Sink ~xt C~asc Trap ........ Plast~ Sink Br=a~m Sink Shamp Sink lqdWst Sink , Caagh Basin Wash Fm Urinal Oar Drain Soda Disp Coffee Maker Icc Mak~ Si~ ~ain ~f.~in_ g~ndp R~ Electric Contractor OR [--]Electric Installation Verification form attached (If Rcpiaccmar~t) Use / Nature of Work Size Material Type # Sanitary Sewer Storm Sewer Water Set'vice